| NPI | 1932855723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP003222) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ND R52061) |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2024-08-13 |